New Patient

New Patient Paper Work

We offers our patient form(s) online so they can be finished it in the comfort of your own home or office.
OUR FORMS ARE COMING SOON! Please arrive to the office 15 mins early to fill out any necessary forms.
  • All forms are PDF files. You will need AdobeReader to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment

New patients

Your first visit will include:

1-on-1 Consultation
Physical Examination
X-Rays (if necessary)
Chiropractic Treatment (if necessary)
Click Here

Contact Info

  • 7950 S. Military Trail
    Suite 105
    Lake Worth, FL 33463
  • Phone : (561) 600-1091
  • Email : DrPerez@ActiveEdgeChiroFL.com
Car Accident, Work Injury, or Just Looking to Feel Better?

We look forward to helping you feel better, move better, and live better!.